34D0941351 CLIA NUMBER - INTERNAL MEDICINE AND PRIMARY CARE AND ONSLOW PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 34D0941351
  • Facility Name: INTERNAL MEDICINE AND PRIMARY CARE AND ONSLOW PRIMARY CARE
  • Facility Address: 31 OFFICE PARK
    JACKSONVILLE, NC
    ZIP 28546
  • Facility Phone: 910 346-5016
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL JOSILEVICH
  • NPI Number: 1063505949
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D0941351
LAB Type Physician Office
Facility Name INTERNAL MEDICINE AND PRIMARY CARE AND ONSLOW PRIMARY CARE
Street 31 OFFICE PARK
City JACKSONVILLE
State NC
ZIP 28546
Phone 910 346-5016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director MICHAEL JOSILEVICH

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This page was last updated on: 3/20/2025